1. Take Five. Meditation is a powerful, natural way to reduce stress. If you’ve never tried it, it can seem intimidating—or even a little hokey. It’s actually very easy, though, and it takes only a few minutes to help yourself chill out. Set a timer for five minutes in a quiet space, close your eyes, sit still, and simply take slow, deep breaths. To avoid letting it turn into five minutes of ruminating about your stress, focus on your breath. For example, try breathing in for four counts, holding your breath for seven counts, and then breathing out for eight counts.

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But when you take a pill, the side effect is usually unrelated to the problem (i.e. it doesn’t make the problem you’re treating worse), you are generally trading those side effects for some pretty clear benefits, and it’s usually cheap. In manual therapy, most adverse events are backfires — that is, you go for a neck adjustment at the chiropractor, and you come out with more neck pain instead of less. Other data shows this is 25% more likely than if you did nothing at all (see Carlesso). And you pay through the nose for this! Manual therapy is much more expensive than most drug therapy.

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Expect to work hard breaking into the sports environment. Get additional training and develop your expertise in orthopedic massage and functional assessment, clinical massage, myofascial work and stretching. Start by getting involved with your AMTA chapters’ Sports Massage Team; this provides excellent hands-on experience and each event looks great on a resume.
Thai massage – or Nuat Thai – combines both physical and energetic aspects. It is a deep, full-body massage progressing from the feet up, and focusing on sen or energy lines throughout the body, with the aim of clearing blockages in these lines, and thus stimulating the flow of blood and lymph throughout the body. It draws on yoga, acupressure and reflexology.

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In a study looking at happiness levels in people who took vacations and then ranked them, those who rated their sprees as "very relaxed" also reported feeling happier compared to those who did not vacation, and even compared to those who did vacation but did not report feeling "very relaxed." The benefits of these "very relaxed" vacations typically lasted at most two weeks, the study found.
Provided for mommies-to-be from 14 weeks to labor.  Pre-natal massages are a wonderful way to relieve the aches and pains and stresses of pregnancy.  Given in a safe and comfortable side-lying position, this session allows you to take a break from the hustle and bustle of every day life and focuses on YOU.  *High risk pregnancies will require a doctor's release.
Provided for mommies-to-be from 14 weeks to labor.  Pre-natal massages are a wonderful way to relieve the aches and pains and stresses of pregnancy.  Given in a safe and comfortable side-lying position, this session allows you to take a break from the hustle and bustle of every day life and focuses on YOU.  *High risk pregnancies will require a doctor's release.
The more often people check social media accounts, texts, and email, the higher their level of stress, revealed the American Psychological Association's 2017 Stress in America report. Findings from the Pew Research Center underline another negative Facebook effect: Women are particularly vulnerable to stress from social media due to being aware of lousy stuff happening to friends.
Massage is hindered from reaching the gold standard of scientific research, which includes placebo-controlled and double blind clinical trials.[86][87] Developing a "sham" manual therapy for massage would be difficult since even light touch massage could not be assumed to be completely devoid of effects on the subject.[86] It would also be difficult to find a subject that would not notice that they were getting less of a massage, and it would be impossible to blind the therapist.[86] Massage can employ randomized controlled trials, which are published in peer reviewed medical journals.[86] This type of study could increase the credibility of the profession because it displays that purported therapeutic effects are reproducible.[87]

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Thich Nhat Hanh says that when we relax, we "become calm water, and we will reflect reality as it is. If we’re not calm, the image we reflect will be distorted. When the image is distorted by our minds, it’s not the reality, and it causes lots of suffering." Relaxation is essential for accessing the tranquility and joy that lead to increased personal well-being. With sections on healing, relief from nonstop thinking, transforming unpleasant sounds, solitude, being peace, and more, How to Relax includes meditations you can do to help you achieve the benefits of relaxation no matter where you are.

There is so much uncertainty that it is fair and reasonable to ask if we can really say much of anything about massage based on such incomplete and imperfect evidence. We can, in fact, but it all must be done with our eyes wide open and a lot of qualifiers and hedging of bets. We can’t be certain of anything … but we can certainly be informed by the evidence so far.


Research published in the Journal of Sports Medicine and Physical Fitness reported findings of a positive trend for deep tissue massages in regard to improved athletic recovery and performance. The most beneficial type of deep tissue massage for athletes is considered to be “sports massage,” which is commonly performed prior to athletic events to help warm the body and prevent injuries or immediately after to improve recovery.
And yet some medical benefits are plausible despite the lack of evidence. For instance, many apparently successful treatments may be due to the effects of pressure on “muscle knots,” which are a likely factor in many common pain problems, but poorly understood (and difficult to treat). And regardless, the effects on mood and mental health are so profound that patients can’t really lose — it’s a valuable service whether it “works” for pain or not. 

Not everyone should receive a deep tissue massage. Some people simply enjoy the sensation of deeper pressure to their muscles and others prefer a more gentle touch. Someone who has never experienced a massage before may not want to request a deep tissue massage. It is the responsibility of the massage therapist to determine if a deep tissue massage is necessary by way of a thorough health history and evaluation. A massage is only effective when the person on the table is comfortable and relaxed.
How to Relax is part of The Mindfulness Essentials series of how-to titles by Zen Master Thich Nhat Hanh, introducing beginners and reminding seasoned practitioners of the essentials of mindfulness practice. Pocket-sized, with original two color illustrations by Jason DeAntonis, How to Relax shows how critical it is to regularly interrupt the hub-bub and routine of our lives to stop, relax mindfully, and recharge.
BC 500 Jīvaka Komarabhācca, also known as Shivago Komarpaj, the founder of Traditional Thai massage (Nuad Boran) and Thai medicine.[citation needed] According to the Pāli Buddhist Canon, Jivaka was Shakyamuni Buddha's physician.[citation needed] He codified a healing system that combines acupressure, reflexology, and assisted yoga postures.[citation needed] Traditional Thai massage is generally based on a combination of Indian and Chinese traditions of medicine. Jivaka is known today as "Father Doctor" in Thailand.[citation needed]

‘To Write Love on Her Arms’ was the name or the article that Jamie Tworkowski wrote for his friend Renee Yohe who was suffering with addiction, depression, self-injury and suicidal thoughts. The article was about the five days that he spent with Renee before she entered a treatment center. What started as a simple attempt to help someone realize that there’s more to life and it’s possible to recover has become a great non-profit organization.
Speaking to Grunfeld and Andrew, and hearing their advice (see ) on how to identify different occupations that might relax and reinvigorate me, I begin to feel optimistic. I think back to how I liked to pass the time when I was young; the quiet times sitting reading a book, the rowdier times baking with friends. I resolve to make more time to do the adult versions of these things over the next year – then realise I am making excuses. If I could redirect the evenings I am already wasting on screens, that would be a good start.

Just a square (about 1.4 ounces) of the sweet stuff can calm your nerves. Dark chocolate regulates levels of the stress hormone cortisol and stabilizes metabolism Metabolic effects of dark chocolate consumption on energy, gut microbiota, and stress-related metabolism in free-living subjects. Nestle Research Center, Vers-chez-les-Blanc, Lausanne, Switzerland. Journal of Proteome Research 2009;8(12):5568-79..


With possible benefits such as improved fitness endurance and performance, increased flexibility and recovery time, and injury prevention, sports massage is way more than just a massage for athletes! Traditionally, sports massage is a deep tissue massage that targets the deepest layers of muscle in order to stimulate blood flow. It is best done before or after the event as a means to later restore or rehabilitate. For more, see our Comprehensive Guide to Massage.
In any case, the whole notion that you want or need to get rid of lactic acid in the first place is just bogus. Lactic acid is not the cause of muscle pain at any time except the immediate aftermath of intense exercise (and probably not even then). Research has shown that muscle fatigue and the “burn” that you feel as you exercise intensely is probably caused by calcium physiology, not an accumulation of lactic acid.67 In particular, lactic acid does not cause soreness the day after exercise — yet another myth, and a particularly bad one that will just not die!68
Scientists theorize that things in our environment compete for the brain's attention. Essentially, the brain can only focus on a certain amount of input at once. Focusing on sensations other than tension and pain, or even introducing new sensations, can "close the gate" to pain. The pain doesn't go away, it just drops into the background.  De-stress and counteract the downward pain spiral with these eight relaxation tips.
PS Ingraham. Central Sensitization in Chronic Pain: Pain itself can change how pain works, resulting in more pain with less provocation. PainScience.com. 5428 words. Pain itself often modifies the way the central nervous system works, so that a patient actually becomes more sensitive and gets more pain with less provocation. This is called “central sensitization.” (And there’s peripheral sensitization too.) Sensitized patients are not only more sensitive to things that should hurt, but also to ordinary touch and pressure as well. Their pain also “echoes,” fading more slowly than in other people. BACK TO TEXT

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To put it bluntly, it’s not clear that massage has any musculoskeletal benefits at all. It probably does, but mostly quite temporary and highly unpredictable. There’s not nearly enough science, and therapists are hopelessly biased assessing their own efficacy. See Does Massage Therapy Work? A review of the science of massage therapy … such as it is. BACK TO TEXT 

You don’t have to run in order to get a runner’s high. All forms of exercise, including yoga and walking, can ease depression and anxiety by helping the brain release feel-good chemicals and by giving your body a chance to practice dealing with stress. You can go for a quick walk around the block, take the stairs up and down a few flights, or do some stretching exercises like head rolls and shoulder shrugs.
We all have different goals and challenges in life; therefore it’s highly important that we create our own life motto to keep us on track. This mantra will focus your mind and stop you from being anxious and overwhelmed when life throws you yet another curve ball. Identify your challenges, weaknesses and goals so you can craft your own personal mantra.
The therapist uses his or her hands, knees, legs, and feet to move you into a series of yoga-like stretches and also applies deep muscle compression, joint mobilization, and acupressure. Thai massage also utilizes energy work, which, according to ancient Asian culture, treats the subtle energetic field within the body. It corrects blockages, deficiencies, and imbalances in the flow of this energy, which then is believed to improve the client's health. 
So what should runners book instead? Anna Gammal, a massage therapist who works with elite runners at the Boston Marathon each year and also massaged athletes at the 2004 and 2012 Olympics, recommends either a sports massage (i.e. targeted therapeutic treatment for the unique physical and biomechanical needs of athletes) or a myofascial release massage (i.e. the application of gentle, sustained pressure on soft tissue restrictions). Both specifically target muscle release and will help improve flexibility, reduce pain and increase range of motion.

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Sports massage is a good option if you have a repetitive use injury to a muscle, such as what you may get from playing a sport. It’s also a good option if you’re prone to injuries because it can be used to help prevent sports injuries. You may also use sports massage to increase flexibility and performance. Additionally, sports massage can be used to relieve pain, anxiety, and muscle tension.
Is there any simpler way to relax? Slow, deep breaths can help lower blood pressure and heart rate Efficacy of the controlled breathing on stress: biological correlates. Cea Ugarte, J.I., Gonzales-Pinto Arrillaga, A., Cabo Gonzales, O.M. Universidad Pais Vaso, Escuela de Enfermeria. Revista de Enfermeria 2010;33(5):58-54.. For the fancy noses out there, try pranayama breathing, a yogic method that involves breathing through one nostril at a time to relieve anxiety. The technique’s supposed to work the same way as acupuncture, balancing the mind and body (and possibly eliminating the need for a tissue).
Yes, certainly it is a bit exaggerated. It could be a lot worse — hey, at least it’s got references! But it could be a lot better. Citing single cherry-picked studies to support broad treatment claims is weak sauce, even if the picks are good (and clearly not all of these are). The evidence and claims here that are stronger are also less important … and those that are more clinically important are also less sound.
The significant difference in the two approaches is their effect on these layers. A Swedish technique uses lubricant to glide over the layers – whether that be on a superficial layer (light pressure) or a deeper layer (firm pressure). There may also be kneading of the muscles, vibration or percussion to stimulate the muscles, and passive and/or active joint movements. All of these techniques serve to increase circulation of blood and lymph, soften and relax the tissues, reduce cortisol levels in the body (the stress hormone), and provide a generalized sense of relaxation for the client.
Use affirmations to change your outlook on life and stop yourself from always jumping to negative conclusions. Affirmations are short, powerful statements that build you up and increase your confidence, helping you to expect positive outcomes.[4] Be careful about the words you choose – the things you say about yourself over and over again will ensure that you believe your own rhetoric. Use positive, believable, and caring words about yourself.

In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)
Ayurvedic Massage is known as Abhyangam in Sanskrit. According to the Ayurvedic Classics Abhayngam is an important dincharya (Daily Regimen) that is needed for maintaining a healthy lifestyle. The massage technique used during Ayurvedic Massage aims to stimulate the lymphatic system. Practitioners claim that benefits of regular Ayurvedic Massage include pain relief, reduction of fatigue, improved immune system, and improved longevity.[36]

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These results make typical so-called advanced massage really look bad, and they make the popular modality empires and structuralism as a paradigm look ridiculous. The technique gurus push and sell the idea that their methods are dramatically more effective than humble Swedish techniques. If they were even half-right, these “advanced” therapists should have gotten results at least 50% better than their lesser-trained comrades — not just better by a statistically significant margin, but much better, impressively better, decisively better, undeniably better, argument-stopping better, better with bells on …
Our body and mind need sleep in order to rest and refresh. Sleep deprivation is one of the primary causes of anxiety. An average person requires eight hours of sleep every day. When your brain is sleep deprived, it may not be able to respond to emotional events appropriately. Go to bed early and make sure that you get seven to nine hours of sleep every night to maintain a healthy mind.
Unsurprisingly, there are almost no comments questioning or challenging anything about the image. Julie Onofrio chimed in with one of the only genuine criticisms: “a few of the things on there are not correct — massage has not been proven to increase endorphins or decrease cortisol.” Agreed: most of the infographer features common scientific myths about massage.
We offer our patients chiropractic, massage and acupuncture all under one roof. All injuries are treated from a whole-body approach. We focus on first reducing pain by taking pressure off of the inflamed muscle, disc or vertebra with an adjustment and release the surrounding muscles with stretching, myofascial release, graston or ART. Once pain levels have decreased, we correct muscle imablances and strengthen weak muscles with a customized physical therapy plan. Most patients enjoy periodic treatment sessions to maintain their health at an optimum level. ... View Profile
“When I need to rest and restore, I tend,” said Rachel W. Cole, a life coach and retreat leader. She defines tending as “care with intention.” And it can take many forms. Cole tends to her home by cleaning the sheets, washing windows and “getting rid of unused and unloved items.” She tends to her body with a “hot bath, self-massage and a dab of perfume.”
Angie Bolanos has over 13 years of experience in the practice of rehabilitative therapy. She graduated Cum Laude from Syracuse University with a degree in Occupational Therapy and a minor in Psychology. Upon concluding her undergraduate studies, Angie was immediately recruited as an occupational therapist by a large well-established rehabilitation organization in South Florida. Having the natural ability to consistently raise the benchmark, she quickly moved through the ranks holding various administrative rolls amongst various rehabilitation settings.  ... View Profile 

Pre-event sports massage is done to help prevent serious athletic injury. It helps to warm up the muscles, stretching them and making them flexible for optimal athletic performance. A pre-event massage stimulates the flow of blood and nutrients to the muscles, reduces muscle tension, loosens the muscles, and produces a feeling of psychological readiness.


When you get off the table, your calves may be screaming at you, but don’t get upset and run home to your foam roller, says Denunzio. Soreness is normal and can even help reveal areas of weakness that should receive future attention. Within 48 hours, the tightness should dissipate, and if the massage was administered correctly, you may even feel like you’re in a new body.
Unfortunately, such massage therapists are quite rare. Most are poorly trained and uncertified. Most work in spas or resorts and on cruise ships, doing treatments that are infamously fluffy and skin deep, with little therapeutic value other than the comfort of a quiet hour of touching (even though many patients find skin-deep massage to be more annoying than anything else). Most of these therapists are earnest and view themselves as medical semi-professionals, despite their comparative lack of training. It’s actually inappropriate to call them “therapists” at all, and in some places (here) it’s actually illegal — they have to use terms like “bodyworker” or “masseuse.”
One theory is that muscle knots may be caused by something that goes wrong at the “motor end plate” — where a nerve ending attaches to a muscle cell.9 We don’t know why this happens, or what exactly goes wrong, but there is circumstantial evidence that motor end plates are the “point” in trigger point. That evidence is too complex and controversial to review properly here. It is explored in detail in my book. Some research has suggested that it may actually be possible to physically destroy the motor end plate with strong massage, thereby inactivating the trigger point.10 When it regrows — these are microscopic structures, it doesn’t take them long to heal — the trigger point may be gone.
At times, this fight-or-flight response is healthy and necessary—for instance, it helps you kick butt on that work presentation, catch the bus that’s about to pull away, or yank a small child out of harm’s way just in time. However, when anxiety becomes chronic, it may lower your immunity, potentially lead to heart disease, and even cause everyday ailments like headaches, back pain, stomach problems, and poor sleep. Fight back against stress with these five proven tension-tamers.
4. Coaching: once you have the breathing pace down, keep doing it while you move to this step. The key here is giving yourself positive, reassuring, and calm messages, rather than continuing with the tense, anxious, and angry thoughts. When I do this, I think things like "I can get through this. It will be OK. I can handle whatever happens. I am going to calmly do my best." Everyone will have a different way of doing this, and some people like to imagine this in the voice of someone they care about, or with the image of that person telling them those things. Keep doing this along with the breathing until you feel sufficiently ready to reconnect with what you were doing.

Sports massage was developed to help athletes prepare their bodies for optimal performance, recover after a big event, or function well during training. However, contrary to what the name suggests, you don't have to be an athlete to benefit from sports massage. Sports massage emphasizes prevention and healing of injuries to the muscles and tendons and can be beneficial for people with injuries, chronic pain or restricted range of motion.
In a world where the only thing news sites are non-stop talking about are crime, corruption, economic breakdown, and the end of the world,  you realize that exposing yourself to this on a daily basis is the same as planting seeds of fear and anxiousness. Try and limit the time that you spend watching the news or browsing on social media, and focus your time and energy on things that will help you get forward and appreciate who you really are without you having to worry about the future.

Thank you so much for your article The Pressure Question in Massage Therapy. I just read it all. I went for a sports massage two weeks ago as I was recommended to have one as it was suggested it might help with tight calves, a side effect of some other injuries I have. I’ve been for sports massages many, many times before over the years. This one was one of the most painful experiences of my life — when I got home I was almost sick and felt in shock. My right achilles tendon was raging and it’s been bad ever since. It hurt so much when it was done (like someone was sticking knives in) and I kept asking if it was meant to hurt. I wish I’d just stopped the session or objected but I didn’t. It used to be a bad injury that affected me walking for about 6 months so I’m just devastated about this. I can hardly bear to put shoes on and its all this time on. I know there are good practitioners out there but experiences like this just make me want to stay away. I wish I’d gone to a “gentle” one.


Massage gives you an endorphin rush. The word “endorphin” reached buzzword status a few years back and is now often invoked carelessly. Endorphins are a class of neuropeptides that act on the nervous system to reduce pain and increase euphoria. But although massage therapy may reduce pain by a variety of mechanisms, it probably doesn’t do it by putting more endorphins into the bloodstream.62 And, yet again, it wouldn’t be that big a deal even if it were true. Like relaxation, endorphins are good, but they can only do so much — at best, such an effect would mostly just explain the pleasantness of massage itself.
Jason DeAntonis is an award-winning Bay Area artist, known for his sumi ink illustrations, and his fine carpentry and custom furniture. He has also worked in sculpture, costume design, glass blowing, painting, printmaking, and book illustration. His work has appeared in Mindfulness in the Garden, How to Sit, How to Eat, How to Walk, How to Love, and How to Relax. He lives in Berkeley, California.
Deep Tissue Massage can release the chronic patterns of tension in the body through slow deep strokes on any contacted areas and deep finger pressure on the contracted areas, either following or going across the grain of muscles, tendons and fascia. It is called deep tissue, because it also focuses on the deeper layers of muscle tissue. It can help reduce pain, increase range of motion, relieve muscle spasms and improve circulation.
Some sports massage therapists use myofascial techniques that focus on stretching the fascia, which are connective tissues surrounding muscles, tendons and ligaments in the body. This particular massage technique involves the therapist applying forces in opposing directions which relaxes the tissues. It can help ease pain and increase mobility in the tissues and surrounding muscles.
4. Erase Optional Stressors. Some experiences that cause anxiety can't be avoided. For instance, if you don't get along swimmingly with your boss or if you're struggling to deal with a medical condition, there isn't too much you can do about that. Some stress, on the other hand, is purely optional. So identify things that rile you up that you can nix. Does Facebook—or even a certain “friend”— always spike your blood pressure? Ban yourself from logging in, or at least un-follow friends whose political rants always make your shoulders get tense. Say no to coffee with that toxic frenemy. Don’t watch the evening news. You get the idea!

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Full disclosure: I was a Registered Massage Therapist with a busy practice in downtown Vancouver from 2000–2010. Since then, I have made my living writing about musculoskeletal medicine and pain science, with a reputation for a skeptical perspective. This article is biased in the direction of debunking, but I also have a real soft spot for massage therapy, and still make a large percentage of my income from selling a book about trigger point therapy — a popular idea in massage that is maligned by many other skeptics (and with good reason). So I actually have competing, complicated biases. I try to compensate for them by sticking to what the evidence can support, and clearly identifying speculation and experimental therapy for what it is. BACK TO TEXT
We all have different goals and challenges in life; therefore it’s highly important that we create our own life motto to keep us on track. This mantra will focus your mind and stop you from being anxious and overwhelmed when life throws you yet another curve ball. Identify your challenges, weaknesses and goals so you can craft your own personal mantra.

Massage therapists choose from literally hundreds of different ways of trying to help people with their hands, and many of these ways are not actually “massage” as we usually think of it. The majority of these manual therapies are nearly untouched by science. Many are dubious and obscure, while others are quite familiar and mainstream. Some of them may well be effective for certain things, but the overall usefulness of this mish-mash of techniques ishard to know. 

This review of 35 tests of treatments for delayed onset muscle soreness (DOMS) is strongly consistent with my own past interpretations of the research: basically, nothing works. Massage is “slightly effective” but “its mean effect was too small to be of clinical relevance.” The evidence for cryotherapy, stretching, and low-intensity exercise is not promising, but technically still inconclusive: more study needed.

Tension headaches: Treatment, causes, and symptoms Tension headaches, often described as a pressing or tightening pain of mild to moderate intensity, are the most common type of headache. Treatment includes pain relief medication, but overuse can increase the risk of headaches. Find out more about different types of headache and when to see a doctor. Read now


Zen gardens are created to represent different soothing elements of nature. These meditation gardens were first used centuries ago by Buddhists. However, anyone can use a Zen garden to find their inner peace. Small Zen garden boxes represent the same elements of traditional Zen gardens and they can help you reduce stress and anxiety in powerful, positive ways. Cultivate your Zen garden to develop quiet mindfulness and inner peace.  Like coloring, this meditative practice enhances your ability to find and maintain your own inner strength and peace.
I have been helping to keep clients healthy and de-stressed for over 25 years. I have worked(and continue to)at several premium spas in the Miami area,including Turnberry Isle,and Shulas in Miami Lakes.I am alo a licensed facialist so can provide/incorporate facial treatments into service.If desired can provide add on services such as hot stone,body brushing,exfoliation,hand/foot reflexology and wrapping.Fully licensed and insured.Member of FSMTA and ASCP. ... View Profile
Many people just try to work through their stress by ignoring it and hoping the stressors pass quickly, even while stressors build up. Because of this, it's not uncommon to be caught off-guard by stress when you reach the point of feeling overwhelmed or to be stressed to the point that it's taking a toll without realizing that you need to work on managing some of the stress in your life and your psyche.
Massage developed alongside athletics in both Ancient China and Ancient Greece. Taoist priests developed massage in concert with their Kung Fu gymnastic movements, while Ancient Greek Olympians used a specific type of trainer ("aleiptes")[27] who would rub their muscles with oil. Pehr Ling's introduction to massage also came about directly as a result of his study of gymnastic movements.
Sports massage was developed to help athletes prepare their bodies for optimal performance, recover after a big event, or function well during training. However, contrary to what the name suggests, you don't have to be an athlete to benefit from sports massage. Sports massage emphasizes prevention and healing of injuries to the muscles and tendons and can be beneficial for people with injuries, chronic pain or restricted range of motion.

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